Alcohol & Drug Treatment Glossary of Terms

A

adolescent/youth outpatient - (see outpatient treatment). A state-certified, non-residential program that provides chemical dependency assessments and an alcohol/drug-free counseling program for adolescents and young adults ages 12-20. Clients under 12 also may be served with the approval of the DBHR contract manager. Collateral and family support services also may be provided to family members of youth clients.

adolescent pregnant and postpartum - These youth are eligible for all substance abuse treatment services available for the adolescent population in general, as well as some specialized services for pregnant women. Those who may require detoxification/stabilization are assessed through ADATSA centers.

aged, blind and disabled (ABD Medical Program) - The Aged, Blind and Disabled (ABD) Medical Program was formerly known as the Disability Lifeline Program and General Assistance Unemployable (GAU) Program. Once approved, you will get a services card. You can use it to get medical care; you can use your services card to go to any medical provider who will accept DSHS medical payments.

assessment (and referral) services - Assessments, screening, referral and case management (monitoring) of indigent or low-income clients seeking assistance as a result of incapacity due to alcoholism and/or drug addiction.

B

C

case management (monitoring) - Case managers work with both adults and adolescents, and serve as a consistent person in clients' lives as they move through treatment and recovery. They involve the client's family, address barriers to treatment, facilitate access to other services needed, maintain clear and accurate records, and troubleshoot client concerns.

CHOICES - Community Health Outreach in a Caring Environment provides alcohol and drug treatment to people living with HIV/AIDS/Hepatitis C. It provides education and individualized treatment in clients' homes or in community locations where they feel safe and supported.

CPI - Clothing and Personal Incidentals. Allowance and the cost of care while in residential treatment.

CSO - Community Service Office. (see TANF, Work First). The incapacity specialist screens and refers new applicants as appropriate for ADATSA assessment, determines program eligibility and client's choice of program, arranges, refers and pays for mental/physical evaluations as needed for ADATSA applicants, and assumes overall responsibility for ADATSA case coordination, including between financial services and the assessment center.

D

DCFS - Division of Children and Family Services [a division of Washington State Department of Social and Health Services (DSHS)] administers a number of programs to assist families in conflict.

deferred prosecution/Department of Licensing - The DOL & Deferred Prosecution program satisfies the requirements of the state of Washington for individuals who have been assessed as having a significant problem with alcohol and/or other drugs, and who require education and treatment to satisfy driving-related offenses. The program also may accommodate Oregon Levels I, II and III.

detoxification - (detoxification; youth detoxification). Care and treatment of persons intoxicated or incapacitated by alcohol or drugs during the period the person recovers from the transitory effects of acute intoxication.

Acute Detoxification - Detoxification service to individuals for whom the consequences of withdrawal merit assistance from medical and/or nursing personnel.

Sub-Acute Detoxification - Prescription medication is not provided for the management of withdrawal, and service is provided in a supportive, home-like environment.

dual diagnosis - An individual demonstrating significant psychological problems, as well as being currently addicted to alcohol or other drugs. [Formerly known as, MICA (Mentally Ill Chemically Addicted)].

DUI assessment - Designed to evaluate and assess clients' involvement with alcohol and/or drugs and recommend an appropriate course of action. Usually by court order and resulting from an arrest for driving under the influence, or having actual physical control of a motor vehicle while under the influence of alcohol and/or drugs. Assistance provided to intoxicated persons in the streets and other public places.

E

F

First Steps Maternity Case Management - Includes referral to treatment, prenatal and postpartum medical care, maternity support services, safe housing, food, transportation, child care and dental and family planning services. This Medicaid service provides uninterrupted insurance coverage through 60 days after delivery when income is at or below 185 percent of the Federal Poverty Level.

Intensive Outpatient Treatment - (see also ADATSA outpatient; outpatient treatment). A concentrated, nonresidential program of individual and group counseling, education and activities for detoxified alcoholics and addicts and their families.

interim services - Services that are provided until an individual is admitted to a substance abuse treatment program. The services are to reduce the adverse health effects of such abuse, promote the individual's health, and reduce the risk of disease transmission.

interpreter services - The CSO will inform the assessment center that an interpreter is needed. The assessment center will contact DBHR Interpreter Services, (360) 438-8499.

The Revised Code of Washington (RCW) 70.96A. 140 authorizes a designated county chemical dependency specialist to investigate and evaluate specific facts alleging a person is incapacitated as a result of chemical dependency. If the facts are determined to be reliable and credible, the specialist may (see Long Term Residential Treatment) file a petition in Superior or District court for commitment of such a person.

J

John Owens Recovery House - (see residential treatment). Offers a transitional treatment program that incorporates a holistic approach designed to enhance the recovery process while preparing the client to reenter the job market and ultimately return to independent living. Stresses the individual's ability to change his/her behavior.

juvenile - According to the Juvenile Court system, juvenile may be up to, but not excluding, 18 years of age. The court may extend the range up to 21 years.

K

L

long term residential treatment - (see residential treatment; ITA involuntary commitment). Care and treatment on a long-term basis (90 days or more) in a residential setting with personal care services for alcoholics and addicts with impaired self-maintenance capabilities and needing personal guidance and assistance to maintain abstinence and good health, under or in lieu of involuntary commitment of alcoholics.

methadone - (see opiate substitution treatment). A synthetic, psychoactive, narcotic (opium or any derivative such as heroin, morphine, codeine) drug more potent than morphine, but less rapidly addicting. It is induced orally to supplant heroin or opiate-dependency treatment.

N

O

opiate substitution treatment - A non-residential (see outpatient treatment) treatment program which includes the use of methadone (or other drugs approved by the department) as a substitute for opiates, in addition to counseling and other types of therapy for opiate addicts and their families.

outpatient treatment - Individual and group treatment services of varying duration and intensity according to a prescribed plan. A state-certified, non-residential program provides chemical dependency assessments and an alcohol/drug free counseling program for adolescents and adults. Collateral and family support services also may be offered.

Outpatient programs for adolescents/youth are designed to diagnose, stabilize, counsel and build family and social support systems, which promote abstinence and growth. Services shall include treatment for the misuse of alcohol and/or other drugs, as well as for addiction.

outreach services - Initiating discussion with youth or adults regarding alcohol and other drugs, possible consequences of usage and education/information about services and resources for those with dependency or affected by dependency of significant people in their lives.

P

parenting - (see pregnant and parenting). Is defined as: a woman with children 17 years old or less who are in her physical custody. Also includes those attempting to regain custody of their children who are in the custody of DSHS. Youth through age 20 who are enrolled in school are considered dependents.

Pioneer Center North (PCN) - A private, non-profit chemical dependency treatment facility under contract with DBHR and the Mental Health Division. It is located in Sedro Wooley, WA. PCN provides treatment for involuntarily committed (ITA) individuals and those with a dual diagnosis.

Pioneer Center East (PCE) - A private, non-profit chemical dependency treatment facility under contract with DASA and the Mental Health Division. It is located in Spokane, WA. PCE provides treatment for involuntarily committed (ITA) individuals and those with a dual diagnosis.

postpartum - Up to one year post delivery or termination of pregnancy.

pregnant and parenting (postpartum) - (see adolescent pregnant and postpartum). Treatment services for low-income, chemically dependent pregnant and post partum women. Those who abuse chemicals also may be eligible. This is DBHR and ADATSA funded. If applying for ADATSA, the request must go through the CSO.

protective payee (pp) - For ADASTA shelter recipients in independent housing, the protective payee shall be an agency under contract with the department to provide Protective Payee services. For ADATSA outpatient clients, the protective payee is the treatment provider.

R

residential treatment - A residential program consists of education, individual therapy, group therapy and related activities for detoxified alcoholics, addicts and their families.

adult - Can be ADATSA funded.

Differential Diagnosis Treatment - A specialized program of substance abuse and mental health diagnosis and treatment. Limited to 30 days.

Extended Care Treatment - For clients needing prolonged treatment services. Some have a maximum stay of 90 or 180 days.

Intensive Inpatient Treatment - A concentrated residential program. May only exceed 30 days by exception to policy (ETP).

Recovery House - Provides care and treatment to aid in adjustment to abstinence, re-entering the community, and seeking employment. Limited to 60 days per admission.

adolescent - Funded by DBHR directly to the provider - No ADATSA

Level One Youth Basic Residential - For ages 13-17 who evidence cognitive ability of at least 11 years of age, have primary diagnosis of chemical dependency, and require less clinical supervision and behavior management. Ages 12 and younger and 18-20 may be served with clinical assessment by a Chemical Dependency Professional (CDP) of appropriateness for youth.

Level Two Youth Intensive Residential Treatment - For those age 13-17 who meet the criteria for being both chemically dependent and with the symptoms of mental health diagnosis (or potential diagnosis requiring concurrent management with the treatment of addiction, e.g., ADH disorder, depression, conduct disorder, etc.) and/or extreme family dysfunction, prior trauma due to emotional, physical and/or sexual abuse, which may present a major risk of danger to the client and/or others and high risk not to complete treatment. Ages 12 and younger and 18-20 may be served with clinical assessment of appropriateness for youth treatment.

Youth Recovery House - For ages 13-17 who have completed residential chemical dependency treatment and who cannot immediately live with their legal guardians, parents, foster parents, relatives or other out-of-home placement. Ages 18-20 may be served with clinical appropriateness for youth treatment as determined by a CDC. Those from Level 1 and Level 2 residential may be served.

S

T

TAMARC - The Adult Model of Addiction Recovery Counseling.

TANF - (see Work First). Temporary Assistance to Needy Families (a.k.a. Work First) The federal government passed this act to replace AFDC (Aid to Families with Dependent Children). Washington state's model for initiating this welfare-to-work program is called Work First. TANF/Work First clients receive chemical dependency assessments and referral to treatment services through out-stationed chemical dependence professionals at the CSO.

TASC - Treatment Alternatives for Safer Communities.

Title XVI - Is the federal welfare program that authorizes SSI (money) for the aged, blind and disabled.

Title XIX - Is the federal welfare program that authorizes Medicaid (medical) for families, children, aged, blind and disabled.

transportation and Family Hardship Funding - Intended to assist families of youth who are clients in DBHR - funded, residential chemical dependency treatment programs and youth detoxification services. Assists families with travel and lodging costs to enable them to fully participate in the family treatment program.

U

V

W

women's services - Services that are provided to women only.

Work First - (see TANF). Families and custodial parents who receive cash assistance and have children 16 years and older are required to participate. These welfare cash benefits are limited to a five-year lifetime total for adults. The CSO staff is the source of Work First referrals.

X

Y

youth - Youth are those who are age 12-17 years.

youth detoxification/crisis stabilization - (see detoxification). For ages 13-7. Provides a safe, temporary, protective environment for at-risk/runaway youth experiencing harmful effects of intoxication and/or withdrawal from alcohol and other drugs, in conjunction with emotional and behavioral crisis, including co-existing or undetermined mental health symptomatology. Those aged 12 or younger and 18 or older may be served based on clinical need and availability of age-appropriate services.